Cook, Mitchell Andrew

Cook, Mitchell Andrew is an individual health care provider with primary practice located at 3329 W Deyoung St , Marion IL 62959-5884. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Cook, Mitchell Andrew can be contacted via phone (618) 767-6050.

Contact Information

Primary practice address
3329 W Deyoung St Marion IL 62959-5884
Phone: (618) 767-6050
Fax: (618) 294-8203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016.005526 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016.005526 Illinois

Profile Details

NPI number 1285920835
LBN Legal business name Cook, Mitchell Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Feb 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285920835 NPPES
Illinois Other 016005526 ILLINOIS STATE LICENSE - PODIATRY

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